Steward queue/CASE-003395
Steward case

CASE-003395

Name and date of birth agree but no identifier (member ID, SSN, phone, email or address) confirms it.

OpenCheckpointckpt-run-mvfoap9e-60722workflow paused, state held

Side-by-side comparison

Incoming CLM-418079 against 1 candidate identity, green agrees, red conflicts, raw bronze value shown beneath when normalisation changed it

FieldCLMCLM-418079incoming
#1MBR-041008Ann Webb
0.831 rec.
Best evidence: NameDate of birth
NameAnn WebbAnn Webb
Date of birth1950-10-011950-10-01
Member IDUHC-30929-91—
SSN—
•••-••-N/A
—
Phone—
7393168
—
Emailann.webb@icloud.com—
Address6699 Lincoln Way—
City / state / ZIPLos Angeles, CA, 90022—
GroupGRP-0221—
PlanNAVIGATE-HMO—
Sources, recordsCLM1 recordTPA ×11 record

Evidence detail

How the scoring agent compared the incoming record to the record it matched inside each candidate

▶#1MBR-041008Ann Webb0.83
Matched against TPA-57986, 2 fields compared, weighted score 0.830
FieldSimilarityWeightShareNote
Name1.00350%
Date of birth1.00350%exact
Guard: No identifier agreesConflicts: none
Records in this identity
  • TPATPA-57986Ann Webb1950-10-01Single record 1.00

Case audit

Every transition on this case, sealed into the hash chain

  1. Steward case openedEscalation agent2026-10-19 19:54:39852fe13261
    Escalated CLM-418079, top score 0.83, candidates MBR-041008

AI recommendation

Advisory only; the steward decides

The model can read the same side-by-side evidence and suggest link, new or reject with a rationale. It never decides.

Steward decision

Recording a decision resumes the paused workflow and updates the graph immediately

Decision
At least 8 characters (0/8)
ActorJ. Okafor (Data Stewardship)
Choose an option
Checkpoint
ckpt-run-mvfoap9e-60722
Stage
Human steward
Policy version
v1, threshold 0.85, floor 0.6
Provisional identity
MBR-036457
Opened
2026-10-19 19:54:36
Top score
0.83